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General NPI Number Information
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NPI Number | 1215241674
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Entity Type | Individual
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Provider Name | JAMES OBERMEYER MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 4205 KITSAP WAY
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City | BREMERTON
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State | WA
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Zip | 98312-2447
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Country | US
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Telephone | 360-782-7780
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Fax | 360-782-7789
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Provider Business Mailing Address
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Address Line | 505 S 336TH ST STE 350
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5948
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Country | US
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Telephone | 253-733-3969
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 125057682
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD61333959
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License Number State | WA
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